Evidence map›Paper›PMID 24979171›Full record

ArticleAcademic medicine : journal of the Association of American Medical Colleges2014

Raising the bar for the care of seriously ill patients: results of a national survey to define essential palliative care competencies for medical students and residents.

Kristen G Schaefer, Eva H Chittenden, Amy M Sullivan, Vyjeyanth S Periyakoil, Laura J Morrison, Elise C Carey, Sandra Sanchez-Reilly, Susan D Block

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Academic medicine : journal of the Association of American Medical Colleges, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 123 citations in OpenAlex.

  1. Review
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  8. Position paper on undergraduate Palliative Medicine education for doctors in South Africa.African journal of primary health care & family medicine · 2022
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  18. Primary Care for the Elderly Bereaved: Recommendations for Medical Education.Journal of clinical psychology in medical settings · 2018
    Article
  19. Development of a Hybrid Simulated Patient Experience to Practice Care of the Dying Older Adult.MedEdPORTAL : the journal of teaching and learning resources · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Kristen G SchaeferDr. Schaefer is director of education, Division of Adult Palliative Care, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, and instructor, Department of Medicine, Harvard Medical School, Boston, Massachusetts. Dr. Chittenden is associate director and director of education, Palliative Care Division, Department of Medicine, Massachusetts General Hospital, and assistant professor, Department of Medicine, Harvard Medical School, Boston Massachusetts. Dr. Sullivan is director for research, The Academy at Harvard Medical School, director for education research, Shapiro Institute for Education and Research, Beth Israel Deaconess Medical Center, and assistant professor, Department of Medicine, Harvard Medical School, Boston, Massachusetts. Dr. Periyakoil is director of palliative care education and training and director, Internet-based Successful Aging and End of Life (iSAGE) mini-fellowship, Stanford University School of Medicine, and associate director of palliative care services, Veterans Administration Palo Alto Health Care System, Palo Alto, California. Dr. Morrison is director of hospice and palliative medicine education and director, Hospice and Palliative Medicine Fellowship, Department of Medicine, Section of Geriatrics, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, Connecticut. Dr. Carey is chair, Section of Palliative Medicine, Division of General Internal Medicine, Mayo Clinic Rochester, Rochester, Minnesota. Dr. Sanchez-Reilly is associate director for education and evaluation, Geriatric Research, Education Clinical Center, South Texas Veterans Health Care System, and clinical associate professor of geriatrics and palliative care, University of Texas Health Science Center at San Antonio, San Antonio, Texas. Dr. Block is chair, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute and Brigham and Women's Hospital, codirector, Harvard Medical School Center for Palliati
Eva H Chittenden
Amy M Sullivan
Vyjeyanth S Periyakoil
Laura J Morrison
Elise C Carey
Sandra Sanchez-Reilly
Susan D Block
Harvard University Press · USMayo Clinic · USStanford University · USThe University of Texas at San Antonio · USYale University · US

Funding

In-reach for Successful Aging through Education(i-SAGE)R25MD006857 · NIMHD · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI PERIYAKOIL, VYJEYANTHI S · 2011 to 2015
$1.7M
Cancer palliative Education Network (Cancer PEN)R25CA115562 · NCI · STANFORD UNIVERSITY · PI PERIYAKOIL, VYJEYANTHI S · 2006 to 2008
$962k
NCI NIH HHS R25 CA115562NIMHD NIH HHS 1R25MD006857NIMHD NIH HHS R25 MD006857PHS HHS RCA115562A
6 · The paper itself

Abstract

purposeGiven the shortage of palliative care specialists in the United States, to ensure quality of care for patients with serious, life-threatening illness, generalist-level palliative care competencies need to be defined and taught. The purpose of this study was to define essential competencies for medical students and internal medicine and family medicine (IM/FM) residents through a national survey of palliative care experts.

methodProposed competencies were derived from existing hospice and palliative medicine fellowship competencies and revised to be developmentally appropriate for students and residents. In spring 2012, the authors administered a Web-based, national cross-sectional survey of palliative care educational experts to assess ratings and rankings of proposed competencies and competency domains.

resultsThe authors identified 18 comprehensive palliative care competencies for medical students and IM/FM residents, respectively. Over 95% of survey respondents judged the competencies as comprehensive and developmentally appropriate (survey response rate = 72%, 71/98). Using predefined cutoff criteria, experts identified 7 medical student and 13 IM/FM resident competencies as essential. Communication and pain/symptom management were rated as the most critical domains.

conclusionsThis national survey of palliative care experts defines comprehensive and essential palliative care competencies for medical students and IM/FM residents that are specific, measurable, and can be used to report educational outcomes; provide a sequence for palliative care curricula in undergraduate and graduate medical education; and highlight the importance of educating medical trainees in communication and pain management. Next steps include seeking input and endorsement from stakeholders in the broader medical education community.

Indexed as

Clinical CompetenceCurriculumEducation, Medical, UndergraduateFamily PracticeFemaleHumansInternal MedicineInternship and ResidencyMalePalliative Care

Identifiers

PMID24979171
PMCPMC4077186
OpenAlexW2073145977

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.